Supporting patient autonomy: Evaluation of information and consent processes in nursing interventions

Abstract

Aim: This study aimed to evaluate the status of patient information and consent acquisition before nursing interventions, focusing on their impact on patient autonomy and safety. Background: Patient autonomy is a fundamental ethical principle in healthcare, emphasising the importance of informing patients and obtaining their consent before medical or nursing interventions. Despite its significance, studies reveal gaps in ensuring adequate patient information and consent, particularly in nursing practices. Methods: A cross-sectional descriptive study was conducted between May and July 2023 at a state hospital in T & uuml;rkiye. Data were collected using structured questionnaires administered to 718 patients. The questionnaires evaluated the extent of information provided, consent rates for nursing interventions, and patient perceptions of the consent process. Results: The highest rates of patient information were observed for blood transfusion (10 0%), vital signs measurement (86.9%), and urinary catheterisation (89.3%). Consent rates, however, were lower, with IM/SC/ ID drug administration at 80.2%, vital signs at 75.8%, and blood sampling at 75.1%. Furthermore, 76.2% of participants preferred a companion during the consent process, 58.4% felt unable to ask questions, and 71.4% reported insufficient time for decision-making. Conclusion: The findings reveal significant deficiencies in informing patients and obtaining consent before nursing interventions, compromising patient autonomy and safety. To address these issues, a patient-centred approach is essential. Recommendations include implementing digital consent forms, utilising electronic records, and providing educational programmes for nurses to enhance patient safety, autonomy, and satisfaction. (c) 2025 Australian College of Nursing Ltd. Published by Elsevier Ltd.